[Federal Register Volume 59, Number 85 (Wednesday, May 4, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-10686]
[[Page Unknown]]
[Federal Register: May 4, 1994]
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DEPARTMENT OF THE TREASURY
Public Information Collection Requirements Submitted to OMB for
Review
April 29, 1994.
The Department of Treasury has submitted the following public
information collection requirement(s) to OMB for review and clearance
under the Paperwork Reduction Act of 1980, Public Law 96-511. Copies of
the submission(s) may be obtained by calling the Treasury Bureau
Clearance Officer listed. Comments regarding this information
collection should be addressed to the OMB reviewer listed and to the
Treasury Department Clearance Officer, Department of the Treasury, room
2110, 1425 New York Avenue, NW., Washington, DC 20220.
Internal Revenue Service
OMB Number: 1545-0274.
Form Number: IRS Form 2163(c).
Type of Review: Extension.
Title: Employment--Reference Inquiry.
Description: Form 2163(c) is used by IRS to verify past employment
history and to question listed and developed references as to the
character and integrity of current and potential IRS employees. The
Information received is incorporated into a report on which a security
determination is based.
Respondents: Individuals or households, State or local governments,
Farms, Businesses or other for-profit, Federal agencies or employees,
Non-profit institutions, Small businesses or organizations.
Estimated Number of Respondents: 20,000.
Estimated Burden Hours Per Respondent: 12 minutes.
Frequency of Response: On occasion.
Estimated Total Reporting Burden: 4,000 hours.
Clearance Officer: Garrick Shear (202) 622-3869, Internal Revenue
Service, room 5571, 1111 Constitution Avenue, N.W., Washington, DC
20224.
OMB Reviewer: Milo Sunderhauf (202) 395-6880, Office of Management and
Budget, room 3001, New Executive Office Building, Washington, DC 20503.
Lois K. Holland,
Departmental Reports, Management Officer.
[FR Doc. 94-10686 Filed 5-3-94; 8:45 am]
BILLING CODE 4830-01-P
